[Hiring] Provider Command Center Representative - Customer Service Representative @Cigna Healthcare
Role Description
The PCC team member reports to the Call Center Team Lead and serves as a critical gatekeeper for the Patient Waiting Room, Exception Queue, Customer Service email escalations, and occasional inbound call center support. As a PCC (HSS Level 3) team member, this role functions as a subject matter expert across call center operations, clinical workflows, provider support, and established policies and procedures. This position supports medical providers and conducts outbound patient outreach for appointment scheduling and rescheduling.
⢠Schedule and reschedule phone or video consultations.
⢠Support the scheduling of appointments, including outreach to providers for availability.
⢠Coordinate language-specific phone or video consultations for nonâEnglishâspeaking patients.
⢠Send escalated alert notifications to medical providers via text when provider coverage is low for stateâspecific consultations.
⢠Monitor the PCC exception queue and onâcall waiting room to ensure patients are seen within 60 minutes, meeting MDLIVE SLAs.
⢠Respond to customer service emailsâincluding general inquiries, contact requests, appointment requests, refund inquiries, and billing questionsâwithin 30 minutes or less.
⢠Provide occasional support to the Inbound Call Center as needed.
⢠Answer the dedicated provider support line and assist providers with inquiries.
⢠Report system issues related to CSAdmin, the patient portal, or the provider portal to production support and submit Jira tickets as necessary.
Qualifications
⢠High School Diploma or GED required.
⢠Legacy MDLIVE Call Center customer service experience required.
⢠Experience with Health Service Specialist, (HSS) training required.
⢠Experience with CSAdmin system required.
⢠Exceptional attention to detail.
⢠Ability to work effectively in a fastâpaced environment.
⢠Strong multiâtasking skills and ability to manage shifting priorities.
⢠Excellent verbal and written communication skills.
⢠Strong resolution and recovery capabilities.
⢠Resilience in adapting to ongoing business updates, training, and evolving responsibilities.
⢠Proficiency with Microsoft Word and Excel.
⢠Work schedule â Monday, Tuesday, Friday, Saturday & Sunday 12:30pm â 9:00pm EST. Wednesday and Thursdays are days off.
⢠If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Requirements
⢠For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.
⢠This role is also anticipated to be eligible to participate in an annual bonus plan.
Benefits
⢠Comprehensive range of benefits focused on supporting your whole health.
⢠Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
⢠401(k), company paid life insurance, tuition reimbursement.
⢠A minimum of 18 days of paid time off per year and paid holidays.
Company Description
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, weâre dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Apply tot his job
Apply To this Job
The PCC team member reports to the Call Center Team Lead and serves as a critical gatekeeper for the Patient Waiting Room, Exception Queue, Customer Service email escalations, and occasional inbound call center support. As a PCC (HSS Level 3) team member, this role functions as a subject matter expert across call center operations, clinical workflows, provider support, and established policies and procedures. This position supports medical providers and conducts outbound patient outreach for appointment scheduling and rescheduling.
⢠Schedule and reschedule phone or video consultations.
⢠Support the scheduling of appointments, including outreach to providers for availability.
⢠Coordinate language-specific phone or video consultations for nonâEnglishâspeaking patients.
⢠Send escalated alert notifications to medical providers via text when provider coverage is low for stateâspecific consultations.
⢠Monitor the PCC exception queue and onâcall waiting room to ensure patients are seen within 60 minutes, meeting MDLIVE SLAs.
⢠Respond to customer service emailsâincluding general inquiries, contact requests, appointment requests, refund inquiries, and billing questionsâwithin 30 minutes or less.
⢠Provide occasional support to the Inbound Call Center as needed.
⢠Answer the dedicated provider support line and assist providers with inquiries.
⢠Report system issues related to CSAdmin, the patient portal, or the provider portal to production support and submit Jira tickets as necessary.
Qualifications
⢠High School Diploma or GED required.
⢠Legacy MDLIVE Call Center customer service experience required.
⢠Experience with Health Service Specialist, (HSS) training required.
⢠Experience with CSAdmin system required.
⢠Exceptional attention to detail.
⢠Ability to work effectively in a fastâpaced environment.
⢠Strong multiâtasking skills and ability to manage shifting priorities.
⢠Excellent verbal and written communication skills.
⢠Strong resolution and recovery capabilities.
⢠Resilience in adapting to ongoing business updates, training, and evolving responsibilities.
⢠Proficiency with Microsoft Word and Excel.
⢠Work schedule â Monday, Tuesday, Friday, Saturday & Sunday 12:30pm â 9:00pm EST. Wednesday and Thursdays are days off.
⢠If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Requirements
⢠For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.
⢠This role is also anticipated to be eligible to participate in an annual bonus plan.
Benefits
⢠Comprehensive range of benefits focused on supporting your whole health.
⢠Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
⢠401(k), company paid life insurance, tuition reimbursement.
⢠A minimum of 18 days of paid time off per year and paid holidays.
Company Description
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, weâre dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Apply tot his job
Apply To this Job